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Home My WebLink AboutKNIK HEIGHTS BLK F LT 17 Municipality of Anchorage Page // of DEPARTMENT OF HI:ALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report '~"~: ~ I~ ~ ~:l~C~ Wastewater System: D New ~ Upgrade Address: )~ ~ ~7~u,~ ABSORPTION FIELD Phone NO o~drooms: ~ Deep Trench ~ Shallow Trench [} Bed ~ Mound ~ Other LEGAL DESCRIPTION SoilRating: O1~ GPD/Sq Ft TotalDepth from o~n~l grade: Lot: ~ Block: ~.~ ~[~C~/Subdivision: ~, ~) J Depth lo pipe boltom~n~original g~ade: Fl Gravel deptb beneath~/pipe Ft. Township: Range J Section: Fill added above original grade: O ~ ~ I ~ t Gravel lengtb: WELL: ~t~,. ~ Upgrade Gravelwidlh: 5 Fl. Number of lines:l Dislancebetweanlines:~ Ft Classif~a~t e,~A,B,C): Total Depth: Ft Cased To: Ft Tolal absorplion~area:& ~ sa Ft Pipep~o%~material:~l~ ~/~ Driller: ~ Dale Drilled: SlalicWalorLevel: Installe~ ~ Date installed: /O/~/~~ Yield: GPM Pump Set at: Fl Cas~n~H~g~ve~F~Ground: TANK SEPARATION DISTANCES ~s~.tic ~ Holding L3 S.T.E.P. To Septm Absorpt,on t,lt Hold,,g Pubhc,'Pr,vat6 Manufact~r: ~j Capacity in ~ Foundation t "Pump on" level al:~igh water alarm at: ¢ ~1~ ~0 Pump~ J Eieclricallnspections performed b~~ Remarks: O&D ~EXI%~/¢~ %~T~c BENCH MARK Assumed E eva on Inspections performed by: B~gi~ ~i~er, At~i~ Dates: 1st Department of Health and Human Services approval ~¢~',,* Reviewed and approved by: ~-0~-¢-¢¢ .... (~¢-c~.~.~-~- Date:. / 72 013 (Rev 9/91) MOA 25 PermitNo. c~c~O~c~? Page ~ .of '~' Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report 72-013 A (Rev. 9/91) MOA 25 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW920299 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:KRETZINGER THOMAS & NILA OWNER ADDRESS:12841 ATHERTON RD ANCHORAGE, ALASKA 99516 DATE ISSUED: 9/21/92 EXPIRATION DATE: 9/21/93 PARCEL ID:01737117 LEGAL DESCRIPTION: KNIK HEIGHTS BLK F LT 17 LOT SIZE: 43500 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (iSAACS0). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: SEEPAGE PIT SHALL BE PROPF. RLY ABANDONED DURING CONSTRUCTION OF THE UPGRADE SYSTEM~ RECEIVED BY: ~--~ ISSUED BY: DATE: DATE: September 11, 1992 ROBERT SHAFER, P E ROGERSHAFER. P E CIVIL ENGINEERS (907) 694 2979 FAX694 121~ HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN E×TENS~ONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAO DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street Anchorage, AK 99519-6650 REFERENCE: Knik heights Subdivision, Block F, Lot 17 We request you issue a permit to upgrade the septic system serving the referenced property. An adequacy test was performed on the existing system and the absorption capacity of the system was found to be inadequate. A test hole was excavated and a percolation test performed. The approximate location of the test hole is located on the attached site plan. Ne do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic system. .If you have any questions, or require additional information for your review, please contact us. i{incerely, Roger J. Shafer, P.E. lJS/LSU/lsu 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 /"= 40' SCALE ATHERTON ROAD Municipality of Anchorage DEPARTMENT OF HEAL1-H & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PEREOR EO POR: LEGAL DESCRIPTION: 2 16 17 18 19 2O DATE PERFORMED: ~~ f3-~ ~/.-+I\ ~,,/:.% t,-~ :~, Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? SITE PLAN s L IF YES, ATWHAT 0 DEPTH? p E Depth Io Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE '~/(~ Immures/tach) PERC HOLE DIAMETER TEST RUN BETWEEN /:'~2 FT AND (¢:' FT COMMENTS PERFORMED BY: S & $ ENGINEERING I CERTIFY THAT THIS TEST WAS PERFORMED IN 17034 Eagle River Loop RoadNo. 2l~J ACCORDANCE WITH /~, ,~T~,NJ~IN'~'~j~,~,~GUIDELINES'IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/851 G[ TER ANCHORAGE ARI::A BOROI Dk,..,FITB/IENT OF ENVIFIOBIMENTAL QUALrJ, 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM '/ I.. - MAll. lNG ' NAME '~)~.//M),~ /\A:/ I/:'/It,,(~d-/c ..... ADDRESS LOCATION /~2/~'/Z~ /-~ ~?A LEGAL DESCRIPTION~C~Z SEPTIC TANK: DISTANCE! FROM WELL__~_d'~____ LIQUID CAPACITY /Z,?(b GALLONS. ~ ) NUMBER OF MATERIAL., '~/(~C'l~ ~ J'~ ./~ /-// // ,/~;6~ /:, COMF'ARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH ____ SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS / OUTSIDE DIAMETER LINING MATERIAL ,c~ NEAREST LOT LINE OR WIDTH /~: , LENGTH /J"'2 , DEPTH ~"/ DISTANCE FROM WELL BUILDING FOUNDATION TOTAl. EFFECTIVE ABSORPTION AREA (WALL AREA) SQ, FT. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA ....... DEPTH: TOP ~E ~I[E TO FINISH GRADE FOUNDATION. , NEAREST LOT LINE DISTANCE BE[WEEN LlhlE$~ TRENCH WIDTH -'~Q, FT. LENGTH OF EACH LINE DEPTH OF FILTER MATERIAL BENEATH TILE__ TOTAL LENGTH .- OF-~LJN ES IN. TOTAL EFFECTIVE __IN. ABOVE TILE_ WELL: IYPE i,,:l/)/uH~. /),i!/1/~)) DEl)TEl /-ID' LOT LINE /~ /./. NEAREST ..;?_ / SEPTIC , SEWER LINE ). ) , TANK DISTANCE FROM Jr WATER , BUILDING FOUNDATION · '?' 's SAMPLE / SEEPAGE ~, , /v'~:'/,,~- , SYSTEM '/'/ , CESSPOOL DIAGRAM GE SYSTEM , NEAREST OTHER /t,,'~'v,;' ..; , SOURCES_J ;~3~:~ DISTANCES: :~;/:,~ ~ u~c~o ~'9~~ G.A.A.B. GREAi ER ANCHORAGE AREA DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO, 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE, ALASKA 99502 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT BORuU-GH ................... 2174 P.ONE 27.2 INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH ;,, so,. TEST RESOLTB COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSE~.UTION. SEPTIC TANK SIZE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK __ FOUNDATION TO SEEPAGE Pit SEPTIC TANK TO SEEPAGE PIT WALL /5¢'/ SEPTIC TANK /; / SEEPAGE PI]' TO NEAREST LOT L]NE. WELL TO SEPTIC TANK '~')-~'t / DRAIN FIELD · DRAIN FIELD ., DRAIN PIELD ALSO CONSIDER AREA WELLS. DIAGRAM OF SYSTEM WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK, I ~) ~ SEEPAGE PIT , SEEPAGE PIT , DRAIN FIELD CAST IRON INTO AND OUT Of SEPTIC TANK AND INTO CRIBCROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE P~LT. FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONPORM 'TO BOROU~,tfl-I~EGULATIONS REGARDING INSTALLATION. SEWAGE INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH GREATER ANCHORAGE AREA BORUUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE, ALASKA 99502 TELEPHONE 27g-8686 DISPOSAL SYSTEM .. I APPLICATION AND PERMIT ~ / SEEPAGE FIT i DRAIN FIELD . OTHER NOTE= THIS PERMIT IS NOT VALID WITHOUT SOIL 'rES? FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING Of ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PiT --, DRAIN FIELD , SEPTIC TANK TO SEEPAGE P , 1l WALl- SEPTIC TANK , , SEEPAGE PIT , DRAIN FIELD TO NEAREST LOT LINE, WELL To SEPTIG TANK C-L> DRAIN FIELD /~ ALSO CONSIDER AREA WELLS. f SEPTIC TANK. ~' ~'"~-- ' ISEEPAGE PIT -- .. DRAIN FIELD '--~ GRAVEL BACKFILL CONFORM TO E~OROUGH REGULATIONS REGARDING INSTALLATION. HEALTH AUTHORITY OR LICENSED DESIGNER DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE, , ~ 3500 TUDOR RCAi) A~IriHORAGE, AI..ASKA 9n502 Performed For init. Kretzlnger Oate Performed ..... Leaal Descrintion: Lot~/_~Blocx ~- Subdivision K~lk t)ts This Form Re~orts Soils t.oq X'X ..... Per~o!-a~'~{'-l-~-s-[ .......... Qeuth Feet 1 s o---i. 1 2 to 5 Soil Characteristics The contaots between the l. ayez's were e rz'atlc, The (;m to Gw had so~e M1 and Ch layers but these accounted fo~· less than 5~ of the total The ~ ~' contact ws~sl S p bias Ground Water Encountered?.___N_g_. IS Yes, At what Denth? Grnss Time Net Time j Oenth to 1!20 Net Dr'on Readinq Date Percolation Rate Oeoth of Inlet _.~_~k t~,eet _ Oen~:',~ -Fo B~ft~,.:' F~, 7il. (,, r~nchj,~. ~eet ........... cr~c_¢la~?~Z~;v~e~'a~;e- !50 sq. ~Tt~t)~'m ................. Test P er f or me d Parcel I.D. # 1. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING GENERAL INFORMATION . Complete legal description Lot Ili Block Fi Knik H~i,qhts Location (site ad;dress or directions) :- ProPerty owner- ' Thomas Kretzinae~. Mailing address' ':.- P.0. Box 230006 Lending agency Mailing address. Agent Add ress ............ 12841 Ath~rton Road Anchora_~ AK Day phone~ 357-5671 Anchora_q~., AK : Day phone Day phone _. ; :-.' i" _."'.:: ~:~ii?: unicOS, otherwise requested,. NAA:will be held for ~ickur~ ' .. ' 2, NUMBER OFBFDROOMS:..~:'.~ 3. ' .' O ,.-... ~ .: . ., , . . ....~...,- ....... ..... ;- ..... : -,?. Public water ......... .... . ....... -- NOTE: -If comm uni~ well system, provide wri~en confirmation from State ADEC a~est- lng to the legality and status of system. - ::.:? .::'_:.-,' .' '-..~ I~dividualon-site -t'. XXX , . oldmqtank . ~,.:, · ~, ;~,-~ '.:~ ~..,.. ............ · , ~ ', ~ ' '-N -,/' "-~,~ ~,: " -'" ' - '- :" - ',,- . , - ~.~:~.., ,.,...~ ,.-, ...,-,.. '"" . ' ~, ~J, ~""-"~ '~ ,F;"i?~ .'-, "~'- - : - --, - . .... v ~ . .' Il:,; ~, '.: . NOTE: If community wastewater system, provide wri~en confirmation from State ADEC -?~- ' a~esting to the legafi~ and status of system. ' - :suosmlnd~,S §ui~olloj eq3 q~/~ :'smooJpeq ~.. jo,[..le^oJdde leUO.~Apuoo - ....... .pe^oJdd~s!(3 · swooJ peq ~oJ t~^o~dd¥ ---~' =II:II'M.YNDIS SHHO '9 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST A. Well Data Well type 'J~f¢~Tg . Log present (y/~,b Total depth _ Sanitary seal (~/N) ~AJ/~ ///3 -CC Parcel I.D. If A, B, or C, attach ADEC letter. ADEC water system number' /%o Date completed ~¢~-o/z~ 8/22- Driller / ,'~? ' + Cased to z-/o '/ Casing height FROM WELL LOG Date of test Static water level Well flow Pump level1 ~" /~' '.r Wires properly protected ('¢J,N) ~/~_S g.p.m. SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot /O ~t Absorption field on lot //~ ~ Public sewer main I~//~ Sewer service line ~ ~'¢' AT INSPECTION /07 ;2o ; On adjacent lots _; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform / Date of sample: Nitrate be ~/Z-- Other bacteria Collected by: B. SEPTIC/HOLDING TANK DATA Date installed I0'6,c/Z Cleanouts (Y/N) Y¢.S High water alarm (Y/N) Date of pumping Tank size / ooo Compartments Foundation cleanout ¢~/N) O(t'~O~r~E(Jc Depression (Y/I~ /'J/,/~ Alarm tested (Y/I~ F J// ~- ~-~ Pumper /~'-~' ~/¢D,~ SEPARATION DISTANCES FROM SEPTIC/I-~.L~C[~t_G TANK TO: Well(s) on lot i0 F~ On adjacent lots / To property line [0 ,,~ Absorption field I0 Sudace water/drainage (oo Foundation Water main/service line /O ¢'¢- 72-026 (8/93)' Front CONTINUED ON BACK PAGE C. LIF'r§TA~ON Date installed Size in gallons Vent (Y/N) "Purnp on" level-at. High water alarm level Meets MOA electrical codes (Y/N~ Manufacturer Manhole/Access (Y/N)' .~- ' "Pump off" Level at ~ C~_ycles tested SEPARATION DIS_TANC"E FROM LiFT STATION TO: WCll-on'l~t On adjacent lots D. ABSORPTION FIELD DATA /O/(~/c/7- Soil rating (GPD/Ft2) f),/o _Width _ ~ Gravel thickness __ ~ .~ &F Clean0ut present ~N) . ~3 ~ ~ ~ -~ g Results (pas~fail) Date installed Length /o ~' Total absorption area Date of adequacy test Surface water'"~ System type _Total depth ~ ~ Depression over field (Y~) ~3_ for ~ Bedrooms After test '-~ ~)/ ¢-/"¢//¢',¢' (~ ~ Water level in absorption field before test Peroxide treatment (past 12 months) (Y/~ If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots Sur[ace water Curtain drain ' [O0 On adjacent lots / 0 d /,/ Property line /0 % To existing or abandoned system on lot Cutbank hJ//¢ Water main/service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I ce~'fy that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature ..... Engineer's Name Date HAA Fee $ Sc//). ¢/c.9 Date of Payment ,;~..~/r¢~ Receipt Number Waiver Fee $ Date of Payment Receipt Number 72-026 (3~93)' Back